| NPI | 1881102010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP001525) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SD CP001525) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: OK 110500) | |
| 363L00000X Nurse Practitioner (Licence: OK 110500) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OK 110500) | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2021-11-26 |